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Re: Re: so tired again

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Frist get your E2 tested if you need a higher gel dose and it makes your E2 go

up then yes you need to take something to keep it in check.

Phil

dano2718 <no_reply > wrote:

Bruce-

Thanks so much for the explanation of this common modality. I

think I have just gone through that. Sorry for the questions, but

my doc is being very unaccessible until I see him in May.

So what do you do when E2 goes up after increasing T dose? I've

never had any indications of E2 - I stay pretty lean and no sore

nips, but I did start to come back " down " after raising my AG dose

from 5g to 7.5g per day when low T symptoms came back at +2 weeks.

I have not experienced any E2 symptoms besides lowered effectiveness

of T lately, but I went back down to 5g today and I feel better so

far. It seems like 5g is too little and 7.5 g is too much (converts

to E2?). Or do I need to start blocking E2?

TIA,

Dano

>

> Hi,

>

> Your experience is common and predictable. Supplementation first

boosts total T, then

> suppresses natural T production so total T drops back down. An

increase in T dosage will

> fix that, but estradiol will often increase then, offsetting

gains. Too many docs don't know

> that. Insist on tests for at least T, free T and estradiol (E2).

---------------------------------

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On Wed, 27 Apr 2005 15:59:25 -0000, you wrote:

>

>

>Bruce-

>

> Thanks so much for the explanation of this common modality. I

>think I have just gone through that. Sorry for the questions, but

>my doc is being very unaccessible until I see him in May.

>So what do you do when E2 goes up after increasing T dose? I've

>never had any indications of E2 - I stay pretty lean and no sore

>nips, but I did start to come back " down " after raising my AG dose

>from 5g to 7.5g per day when low T symptoms came back at +2 weeks.

>I have not experienced any E2 symptoms besides lowered effectiveness

>of T lately, but I went back down to 5g today and I feel better so

>far. It seems like 5g is too little and 7.5 g is too much (converts

>to E2?). Or do I need to start blocking E2?

>TIA,

>Dano

Call him for an E2 test. Work on it from there.

I think E2 blocking is far more effective than DIMM. And certainly

worth the diagnostic effort. I tried DIMM for a couple months. At

first it seemed somewhat helpful. But not much. I've gone back to

Arimidex with great effect. It's a bit difficult to manage though. But

far preferable.

I do 1/4 tablet every four days and then every two weeks or so skip

one for 8 days without.

- - - -

Just another albino black sheep

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> I have lent out my Shippen book, so I can't read about E2 there.

>Maybe he explains this. Now I am wondering why, before one gets adult

>onset hypogonadism, the body doesn't have issues with aromatizing too

>much of the natural T into E2?

Well the body does have issues and it barely manages it even with natural

production. Many boys develop breasts during puberty because they get spikes

in testosterone that convert over to estrogen. In most instances the body

finds its way and smoothes things out over time but it is a very fragile

balance where the body needs T but has trouble with anything other than the

ideal amount of either natural or external T. Finding that amount and

managing it is a challenge at best.

Winter

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